{ "task_id": "00000000-0000-4000-a000-000000000001", "status": "SEARCH_ALL_COMPLETE", "request_dump": { "phone": "+971 50 000 0000", "id_type": "EMIRATESID", "tpa_name": "BOTH", "payerName": "", "doctorName": "Sample Clinician", "extra_args": { "title": "", "value": "" }, "visit_type": "OUTPATIENT", "emirates_id": "784-0000-0000000-0", "practice_id": "00000000-0000-4000-a000-000000000002", "user_id": "00000000-0000-4000-a000-000000000003", "name": null, "dob": null, "mode": "prod", "test_mode": false }, "is_search_all": true, "search_all_status": "SEARCH_ALL_COMPLETE", "aggregated_results": [ { "tpa_name": "TPA026", "status": "member_not_found", "data": { "payer_id": "TPA026", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:45.657000", "message": "Member with ID 784-0000-0000000-0 not found or referral code was incorrect.", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "INS010", "status": "member_not_found", "data": { "payer_id": "INS010", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:02:18.221000", "message": "Member not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA029", "status": "failed", "data": null, "created_at": "2025-10-12T10:00:29.075000", "message": "TPA `TPA029` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "TPA036", "status": "member_not_found", "data": { "payer_id": "TPA036", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:39.046000", "message": "Member with ID 784-0000-0000000-0 not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "INS038", "status": "failed", "data": null, "created_at": "2025-10-12T10:00:47.429000", "message": "Failed to login - invalid credentials", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA003", "status": "member_not_found", "data": { "network": null, "payer_id": "TPA003", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The page does not provide valid insurance details or confirmation of eligibility. It specifically shows a 'Member not found' error message, lacking any policy details or copay information.", "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "coverage_details": null, "is_policy_active": false, "policy_holder_dob": null, "policy_holder_name": null, "referral_documents": [], "policy_holder_phone": null, "policy_holder_gender": null, "policy_holder_last_name": null, "policy_holder_member_id": null, "payer_eligibility_status": null, "policy_holder_first_name": null, "policy_holder_card_number": null, "policy_holder_emirates_id": null, "policy_holder_middle_name": null, "policy_holder_relationship": null, "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:52.589000", "message": null, "screenshot_url": null }, { "tpa_name": "TPA002", "status": "member_not_found", "data": { "payer_id": "TPA002", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:39.969000", "message": "`This beneficiary is Invalid ` was seen", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA010", "status": "member_not_found", "data": { "payer_id": "TPA010", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:41.289000", "message": "No results found for the given ID: 784-0000-0000000-0", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA008", "status": "member_not_found", "data": { "network": null, "payer_id": "TPA008", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The document contains an error ('Member ID does not match...') and lacks evidence of eligibility, making the person not eligible.", "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "coverage_details": null, "is_policy_active": false, "policy_holder_dob": null, "policy_holder_name": null, "referral_documents": [ { "id": "member_eligibility_document", "tag": "Member Eligibility Document", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" } ], "policy_holder_phone": null, "policy_holder_gender": null, "policy_holder_last_name": null, "policy_holder_member_id": null, "payer_eligibility_status": null, "policy_holder_first_name": null, "policy_holder_card_number": null, "policy_holder_emirates_id": null, "policy_holder_middle_name": null, "policy_holder_relationship": null, "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:01:48.878000", "message": null, "screenshot_url": null }, { "tpa_name": "DHPO / Riayati", "status": "delegated_to_search_all_pool", "data": null, "created_at": "2025-10-12T10:00:27.636000", "message": "Identification via DHPO / Riayati failed, triggering pool-based search_all.", "screenshot_url": null }, { "tpa_name": "INS015", "status": "member_not_found", "data": { "network": null, "payer_id": "INS015", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The page lacks concrete insurance details such as copay information, policy numbers, or eligibility checkboxes. 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"INS016", "dha_member_id": "0000000000", "policy_number": "POL-0000000", "tpa_member_id": "MBR-0000000", "reference_number": "REF-0000000" }, "policy_holder_dob": "01-01-1990", "policy_holder_name": "Sample Policy Holder", "patient_emirates_id": "784-0000-0000000-0", "policy_holder_phone": null, "policy_holder_gender": "MALE", "policy_primary_member_id": "MBR-0000000", "policy_holder_relationship": null, "policy_holder_date_of_birth": "01-01-1990", "policy_primary_dha_member_id": "0000000000" }, "copay_analysis": { "copay_details": [ { "remarks": "Citation: Copay 20% applicable for : Consultation / Evaluation and Management, Laboratory, Ultrasound, X-Ray, C.T Scan, M.R.I, Radiology NEC, Physiotherapy, PET Scan, Endoscopy, Teleconsultations, Diagnostics NEC | \n\n ", "visit_type": "Consultation", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": "AED", "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "20.0", "coinsurance_percentage": null }, { "remarks": "Citation: Copay 20% applicable for : Consultation / Evaluation and Management, Laboratory, Ultrasound, X-Ray, C.T Scan, M.R.I, Radiology NEC, Physiotherapy, PET Scan, Endoscopy, Teleconsultations, Diagnostics NEC | \n\n ", "visit_type": "Laboratory", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": "AED", "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "20.0", "coinsurance_percentage": null }, { "remarks": "Citation: Copay 20% applicable for : Consultation / Evaluation and Management, Laboratory, Ultrasound, X-Ray, C.T Scan, M.R.I, Radiology NEC, Physiotherapy, PET Scan, Endoscopy, Teleconsultations, Diagnostics NEC | \n\n ", "visit_type": "Radiology", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": "AED", "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "20.0", "coinsurance_percentage": null }, { "remarks": "Citation: Copay 20% applicable for : Consultation / Evaluation and 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null }, { "remarks": "Citation: Copay 20% applicable for : Consultation / Evaluation and Management, Laboratory, Ultrasound, X-Ray, C.T Scan, M.R.I, Radiology NEC, Physiotherapy, PET Scan, Endoscopy, Teleconsultations, Diagnostics NEC | \n\n Automatically added as Consultation, Lab, and Radiology have same copay.", "visit_type": "Procedure", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": "AED", "copay_max_scope": null, "copay_max_amount": null, "copay_percentage": "20.0", "coinsurance_percentage": null } ], "waiting_period": "Not Specified", "special_remarks": ["No referral required for specialist consultation"], "new_version_of_copay_analysis": { "benefits": [ { "limits": null, "remarks": null, "conditions": null, "cost_sharing": [ { "visit_type": "Outpatient", "copay_amount": null, "visit_setting": "Outpatient", "copay_currency": "AED", "copay_percentage": 20.0, "copay_maximum_scope": null, "copay_maximum_amount": null, "coinsurance_percentage": null } ], 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consultation"], "abbreviations_defined": null } }, "failure_reason": null, "policy_network": { "is_vip": "Not Mentioned", "payer_name": "SUKOON TAKAFUL - INS016", "sponsor_id": "INS016", "start_date": "2025-06-01", "valid_upto": "2026-05-31", "all_networks": [ { "network": "GN", "visit_type": "Not Specified", "network_code": null, "network_value": "General Network", "raw_plan_string": "INS012 - SUKOON TAKAFUL - NAS - GN - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]" } ], "package_name": null, "is_gatekeeper": "Not Mentioned", "waiting_period": null, "policy_authority": "DHA", "policy_plan_name": null, "applicable_tariff": "General Network", "work_site_covered": "Yes", "policy_holder_name": null, "network_payment_limit": 700, "payer_name_as_in_text": "Sukoon Takaful", "is_consultation_excluded_from_payment_limit": true, "is_general_physician_referral_required_for_specialist_referral": false }, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "policy_holder_dob": "01-01-1990", "policy_holder_name": "Sample Policy Holder", "referral_documents": [ { "tag": "Member Eligibility - Main Page", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tag": "Member Eligibility - Details Modal", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tag": "Member Eligibility - Alternative Screenshot", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tag": "Member Eligibility - Approval Requirements", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "id": "claim_form", "tag": "Consultation/Claim form", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" } ], "copay_details_to_fill": [ { "name": "Outpatient", "values_to_fill": { "LAB": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_maxDeductible": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "MEDICINES": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "PROCEDURE": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "RADIOLOGY": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "CONSULTATION": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "DENTAL CONSULTATION & PROCEDURE": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true } }, "primary_network": { "network": "GN", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "GN", "visit_type": "Not Specified", "network_code": null, "network_value": "General Network", "raw_plan_string": "INS012 - SUKOON TAKAFUL - NAS - GN - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]" } ], "has_multiple_networks": false }, { "name": "Maternity", "values_to_fill": { "LAB": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "MEDICINES": { "copay": "0", "deductible": "0", "_copayAmount": "0", 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}, { "name": "Specialization", "values_to_fill": { "LAB": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_maxDeductible": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "MEDICINES": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "PROCEDURE": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "RADIOLOGY": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "CONSULTATION": { "copay": "20.0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true, "_deductibleLegacy": "0" }, "DENTAL CONSULTATION & PROCEDURE": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true } }, "primary_network": { "network": "GN", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "GN", "visit_type": "Not Specified", "network_code": null, "network_value": "General Network", "raw_plan_string": "INS012 - SUKOON TAKAFUL - NAS - GN - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]" } ], "has_multiple_networks": false }, { "name": "Inpatient", "values_to_fill": { "LAB": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "MEDICINES": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "PROCEDURE": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "RADIOLOGY": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "CONSULTATION": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true }, "DENTAL CONSULTATION & PROCEDURE": { "copay": "0", "deductible": "0", "_copayAmount": "0", "_copayMaxAmount": "0", "should_set_copay": true } }, "primary_network": { "network": "GN", "network_status": null, "matched_plan_name": null }, "available_networks": [ { "network": "GN", "visit_type": "Not Specified", "network_code": null, "network_value": "General Network", "raw_plan_string": "INS012 - SUKOON TAKAFUL - NAS - GN - DXB-SHJ", "matched_plan_name": null, "network_name_as_in_text": "Restricted Network [Applicable Tariff: General Network]" } ], "has_multiple_networks": false } ], "policy_holder_emirates_id": "784-0000-0000000-0", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:02:06.820000", "message": null, "screenshot_url": null }, { "tpa_name": "TPA037", "status": "failed", "data": null, "created_at": "2025-10-12T10:00:29.064000", "message": "TPA `TPA037` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "INS017", "status": "member_not_found", "data": { "network": null, "payer_id": "INS017", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The insurance eligibility check failed because the document indicates that the provided Member ID/Emirates ID is invalid, which serves as an explicit disqualification.", "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "coverage_details": null, "is_policy_active": false, "policy_holder_dob": null, "policy_holder_name": null, "referral_documents": [], "policy_holder_phone": null, "policy_holder_gender": null, "policy_holder_last_name": null, "policy_holder_member_id": null, "payer_eligibility_status": null, "policy_holder_first_name": null, "policy_holder_card_number": null, "policy_holder_emirates_id": null, "policy_holder_middle_name": null, "policy_holder_relationship": null, "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:01:02.727000", "message": null, "screenshot_url": null }, { "tpa_name": "INS012", "status": "failed", "data": null, "created_at": "2025-10-12T10:00:28.360000", "message": "TPA `INS012` is not configured for the practice.", "screenshot_url": null }, { "tpa_name": "INS020", "status": "member_not_found", "data": { "payer_id": "INS020", "show_data": false, "is_eligible": false, "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:00:57.922000", "message": "Member not found", "screenshot_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tpa_name": "TPA001", "status": "member_not_found", "data": { "network": null, "payer_id": "TPA001", "show_data": false, "payer_name": null, "valid_upto": null, "is_eligible": false, "copay_details": null, "other_details": null, "failure_reason": "The insurance eligibility page clearly states 'Not Eligible' and shows an invalid member identifier, leading to a final determination of not eligible despite the effective dates matching today's date.", "screenshot_key": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z", "coverage_details": null, "is_policy_active": false, "policy_holder_dob": null, "policy_holder_name": null, "referral_documents": [ { "tag": "Member Eligibility - Main Page", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" }, { "tag": "Member Eligibility - Details Modal", "s3_url": "https://storage.example.com/eligibility/00000000-0000-4000-a000-000000000001/document.png?sig=PLACEHOLDER&se=2026-01-01T00%3A00%3A00Z" } ], "policy_holder_phone": null, "policy_holder_gender": null, "policy_holder_last_name": null, "policy_holder_member_id": null, "payer_eligibility_status": null, "policy_holder_first_name": null, "policy_holder_card_number": null, "policy_holder_emirates_id": null, "policy_holder_middle_name": null, "policy_holder_relationship": null, "was_identified_by_aggregator": false }, "created_at": "2025-10-12T10:01:21.295000", "message": null, "screenshot_url": null } ], "total_tpas_checked": 17, "found_results": 1, "created_at": "2025-10-12T10:00:25.317000", "updated_at": "2025-10-12T10:02:26.837000" }